=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770811077
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUDSON VALLEY HEMATOLOGY-ONCOLOGY,PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2009
-----------------------------------------------------
Last Update Date | 01/12/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 185 RYKOWSKI LN
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10941-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-692-0090
-----------------------------------------------------
Fax | 845-673-5997
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 185 RYKOWSKI LN
-----------------------------------------------------
City | MIDDLETOWN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10941-4019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-692-0090
-----------------------------------------------------
Fax | 845-673-5997
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER
-----------------------------------------------------
Name | DR. JANE M KANOWITZ
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 845-692-0090
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------